1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | HB 657 2022 |
---|
4 | 4 | | |
---|
5 | 5 | | |
---|
6 | 6 | | |
---|
7 | 7 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
8 | 8 | | hb0657-00 |
---|
9 | 9 | | Page 1 of 4 |
---|
10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
11 | 11 | | |
---|
12 | 12 | | |
---|
13 | 13 | | |
---|
14 | 14 | | A bill to be entitled 1 |
---|
15 | 15 | | An act relating to the Medical Education Reimbursement 2 |
---|
16 | 16 | | and Loan Repayment Program; amending s. 1009.65, F.S.; 3 |
---|
17 | 17 | | revising the purpose of the program; expanding 4 |
---|
18 | 18 | | eligibility criteria for the program to include 5 |
---|
19 | 19 | | certain practice areas; providing an effective date. 6 |
---|
20 | 20 | | 7 |
---|
21 | 21 | | Be It Enacted by the Legislature of the State of Florida: 8 |
---|
22 | 22 | | 9 |
---|
23 | 23 | | Section 1. Subsection (1) of section 1009.65, Florida 10 |
---|
24 | 24 | | Statutes, is amended to read: 11 |
---|
25 | 25 | | 1009.65 Medical Education Reimbursement and Loan Repayment 12 |
---|
26 | 26 | | Program.— 13 |
---|
27 | 27 | | (1) To encourage qualified medical professionals to 14 |
---|
28 | 28 | | practice in underserved locations where there are shortages of 15 |
---|
29 | 29 | | such personnel and to provide primary care to racial and ethnic 16 |
---|
30 | 30 | | minority populations that experience health disparities due to 17 |
---|
31 | 31 | | limited access to quality health care , there is established the 18 |
---|
32 | 32 | | Medical Education Reimbursement and Loan Repayment Program. The 19 |
---|
33 | 33 | | function of the program is to make payments that offset loans 20 |
---|
34 | 34 | | and educational expenses incurred by students for studies 21 |
---|
35 | 35 | | leading to a medical or nursing degree, medical or nursing 22 |
---|
36 | 36 | | licensure, or advanced practice registered nurse licensure or 23 |
---|
37 | 37 | | physician assistant licensure. The following licensed or 24 |
---|
38 | 38 | | certified health care professi onals are eligible to participate 25 |
---|
39 | 39 | | |
---|
40 | 40 | | HB 657 2022 |
---|
41 | 41 | | |
---|
42 | 42 | | |
---|
43 | 43 | | |
---|
44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
45 | 45 | | hb0657-00 |
---|
46 | 46 | | Page 2 of 4 |
---|
47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
48 | 48 | | |
---|
49 | 49 | | |
---|
50 | 50 | | |
---|
51 | 51 | | in this program: 26 |
---|
52 | 52 | | (a) Medical doctors with primary care specialties, doctors 27 |
---|
53 | 53 | | of osteopathic medicine with primary care specialties, physician 28 |
---|
54 | 54 | | assistants, licensed practical nurses and registered nurses, and 29 |
---|
55 | 55 | | advanced practice registered nurses with primary care 30 |
---|
56 | 56 | | specialties such as certified nurse midwives. Primary care 31 |
---|
57 | 57 | | medical specialties for physicians include obstetrics, 32 |
---|
58 | 58 | | gynecology, general and family practice, internal medicine, 33 |
---|
59 | 59 | | pediatrics, and other specialties which ma y be identified by the 34 |
---|
60 | 60 | | Department of Health. From the funds available, the Department 35 |
---|
61 | 61 | | of Health shall make payments as follows: 36 |
---|
62 | 62 | | 1. Up to $4,000 per year for licensed practical nurses and 37 |
---|
63 | 63 | | registered nurses, up to $10,000 per year for advanced practice 38 |
---|
64 | 64 | | registered nurses and physician assistants, and up to $20,000 39 |
---|
65 | 65 | | per year for physicians. Penalties for noncompliance shall be 40 |
---|
66 | 66 | | the same as those in the National Health Services Corps Loan 41 |
---|
67 | 67 | | Repayment Program. Educational expenses include costs for 42 |
---|
68 | 68 | | tuition, matriculation, registration, books, laboratory and 43 |
---|
69 | 69 | | other fees, other educational costs, and reasonable living 44 |
---|
70 | 70 | | expenses as determined by the Department of Health. 45 |
---|
71 | 71 | | 2. All payments are contingent on continued proof of 46 |
---|
72 | 72 | | primary care practice in an area defined in s. 395.602(2)(b), or 47 |
---|
73 | 73 | | an underserved area designated by the Department of Health or 48 |
---|
74 | 74 | | continued proof of serving racial or ethnic minority 49 |
---|
75 | 75 | | populations, provided the practitioner accepts Medicaid 50 |
---|
76 | 76 | | |
---|
77 | 77 | | HB 657 2022 |
---|
78 | 78 | | |
---|
79 | 79 | | |
---|
80 | 80 | | |
---|
81 | 81 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
82 | 82 | | hb0657-00 |
---|
83 | 83 | | Page 3 of 4 |
---|
84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
85 | 85 | | |
---|
86 | 86 | | |
---|
87 | 87 | | |
---|
88 | 88 | | reimbursement if eligible for such reimbursement. Correctional 51 |
---|
89 | 89 | | facilities, state hospitals, and other state institutions that 52 |
---|
90 | 90 | | employ medical personnel shall be designated by the Department 53 |
---|
91 | 91 | | of Health as underserved locations. Locations with high 54 |
---|
92 | 92 | | incidences of infant mortality, high morbidity, or low Medicaid 55 |
---|
93 | 93 | | participation by health care professionals may be designated as 56 |
---|
94 | 94 | | underserved. To receive payments under the program for serving 57 |
---|
95 | 95 | | racial and ethnic minority populations, the practitioner must 58 |
---|
96 | 96 | | provide proof that at least 50 percent of his or her primary 59 |
---|
97 | 97 | | care patient population consists of racial or ethnic minorities 60 |
---|
98 | 98 | | in this state. 61 |
---|
99 | 99 | | (b) Advanced practice registered nurses registered to 62 |
---|
100 | 100 | | engage in autonomous practice under s. 464.0123 and practicing 63 |
---|
101 | 101 | | in the primary care specialties of family medicine, general 64 |
---|
102 | 102 | | pediatrics, general internal medicine, or midwifery. From the 65 |
---|
103 | 103 | | funds available, the Department of Health shall make payments of 66 |
---|
104 | 104 | | up to $15,000 per year to advanced practice registered nurses 67 |
---|
105 | 105 | | registered under s. 464.0123 who demonstrate, as required by 68 |
---|
106 | 106 | | department rule, active employment providing primary care 69 |
---|
107 | 107 | | services to racial or ethnic minority populations or in a public 70 |
---|
108 | 108 | | health program, an independent practice, or a group practice 71 |
---|
109 | 109 | | that serves Medicaid recipients and other low -income patients 72 |
---|
110 | 110 | | and that is located in a primary care health professional 73 |
---|
111 | 111 | | shortage area. Only loans to pay the costs of tuition, books, 74 |
---|
112 | 112 | | medical equipment and supplies, uniforms, and living expenses 75 |
---|
113 | 113 | | |
---|
114 | 114 | | HB 657 2022 |
---|
115 | 115 | | |
---|
116 | 116 | | |
---|
117 | 117 | | |
---|
118 | 118 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
119 | 119 | | hb0657-00 |
---|
120 | 120 | | Page 4 of 4 |
---|
121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
122 | 122 | | |
---|
123 | 123 | | |
---|
124 | 124 | | |
---|
125 | 125 | | may be covered. To receive payments under the program for 76 |
---|
126 | 126 | | serving racial and ethnic minority populations, t he advanced 77 |
---|
127 | 127 | | practice registered nurse must provide proof that at least 50 78 |
---|
128 | 128 | | percent of his or her primary care patient population consists 79 |
---|
129 | 129 | | of racial or ethnic minorities in this state. For the purposes 80 |
---|
130 | 130 | | of this paragraph: 81 |
---|
131 | 131 | | 1. "Primary care health professiona l shortage area" means 82 |
---|
132 | 132 | | a geographic area, an area having a special population, or a 83 |
---|
133 | 133 | | facility with a score of at least 18, as designated and 84 |
---|
134 | 134 | | calculated by the Federal Health Resources and Services 85 |
---|
135 | 135 | | Administration or a rural area as defined by the Federal Off ice 86 |
---|
136 | 136 | | of Rural Health Policy. 87 |
---|
137 | 137 | | 2. "Public health program" means a county health 88 |
---|
138 | 138 | | department, the Children's Medical Services program, a federally 89 |
---|
139 | 139 | | funded community health center, a federally funded migrant 90 |
---|
140 | 140 | | health center, or any other publicly funded or nonpro fit health 91 |
---|
141 | 141 | | care program designated by the department. 92 |
---|
142 | 142 | | Section 2. This act shall take effect July 1, 2022. 93 |
---|